GERALD L BROCKHOUSE Athletic Trainer License verification

Business Entity

INACTIVE

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096000105

License Status

INACTIVE

Business

First Name

GERALD L

Last Name

BROCKHOUSE

Business Name

GERALD L BROCKHOUSE

Original Issue Date

07/11/1986

Expiration Date

05/31/1998

City

BROOKFIELD

State

Zip

60513

County

COOK

Ever Disciplined

LastModifiedDate

09/04/2005